新生儿无创正压通气护理质量评价指标体系的构建研究

目的：构建新生儿无创正压通气护理质量评价指标体系，为评价新生儿无创正压通气的护理质量提供依据。方法：以“结构-过程-结果”三维质量评价模型为理论框架，采用文献分析、半结构式访谈、Delphi法和层次分析法确立新生儿无创正压通气护理质量评价指标体系。结果：两轮函询问卷的有效回收率分别为80%、100%，专家权威系数均为0.90，肯德尔和谐系数分别为0.367、0.357（P＜0.001）。最终确立的新生儿无创正压通气护理质量评价指标体系包括一级指标3项、二级指标12项和三级指标66项。结论：构建的新生儿无创正压通气护理质量评价指标体系科学性、可靠性较好，可为新生儿无创正压通气护理质量评价提供依据。

Study on establishment of quality evaluation index system for nursing in neonatal non-invasive positive pressure ventilation

Objective:To establish a quality evaluation index system for nursing care in neonatal non-invasive positive pressure ventilation in order to provide basis for nursing quality management.Methods:Based on the"structure-process-outcome"three-dimensional quality model,a comprehensive method,including literature review,semi-structured interviews,Delphi method,and analytic hierarchy process,was adopted to establish a quality indicator system for nursing in neonatal non-invasive positive pressure ventilation.Results:2 rounds of expert consultations resulted in the effective response rates of 80%and 100%,with the authority coefficients of both 0.90,and the coordination coefficients of 0.367 and 0.357(P<0.001).The final evaluation index system for nursing quality in neonatal non-invasive positive pressure ventilation consisted of 3 first-level indicators,12 second-level indicators,and 66 third-level indicators.Conclusion:The quality evaluation index system for nursing care in neonatal non-invasive positive pressure ventilation is scientific and reliable,which can provide science-based references for evaluating the clinical nursing quality in neonatal non-invasive positive pressure ventilation.